Individual
SHARIFF QAIS BARAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6230 CAHALAN AVE, SAN JOSE, CA 95123-4504
(669) 270-7535
Mailing address
6230 CAHALAN AVE, SAN JOSE, CA 95123-4504
(669) 270-7535
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
94689
CA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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